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Introduction. GERD is common pathological condition Induced by retrograde flow of GI contens in the oesophagus, mouth and airwaysSignificant negative effect on the quality of live. Epidemiology of GERD. Highly prevalent in Western countriesRelatively low developing country from Africa or Asia7% of the individulas in US experinece heartburn daily14% have heartburn once a weekApproximately 20

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